A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation.
The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

Yes, in most cases it only lasts until about the 12th week, but it will continue if you have poor bladder tone.

Yes, it will, but if you decrease your fluid intake, especially at bedtime, it won’t be so bothersome.

There is no way to predict how long it will last for each individual client, so you’ll just have to wait and see.

No, it should only last until about your 12th week but it will return near the end of the pregnancy

Answer and Explanation

The Correct Answer is D

Choice A:
It is inaccurate to state that urinary frequency will continue throughout pregnancy in most cases. While it is a common symptom, it typically resolves by the end of the first trimester.
Suggesting that poor bladder tone is the cause of ongoing urinary frequency is not supported by evidence. This response may unnecessarily alarm a client who is already experiencing discomfort.

Choice B:
It is not recommended to advise a pregnant woman to decrease her fluid intake, especially during the first trimester when adequate hydration is crucial.
Restricting fluids can lead to dehydration, which can have negative consequences for both the mother and the fetus. While reducing fluid intake before bedtime might lessen nighttime urination, it does not address the underlying cause of urinary frequency.

Choice C:
While it is true that the duration of urinary frequency can vary among individuals, providing such an uncertain response may not be helpful to the client.
It is important to offer information that is both accurate and reassuring.

Choice D:
This response accurately conveys that urinary frequency is a common early pregnancy symptom that typically resolves by the end of the first trimester.
It also acknowledges that the symptom may return later in pregnancy, which helps to prepare the client for potential discomfort.
This response provides accurate information in a reassuring manner, making it the most appropriate choice.

Nursing Test Bank

Quiz #1: RN Exams Pharmacology Exams Quiz #2: RN Exams Medical-Surgical Exams Quiz #3: RN Exams Fundamentals Exams Quiz #4: RN Exams Maternal-Newborn Exams Quiz #5: RN Exams Anatomy and Physiology Exams Quiz #6: RN Exams Obstetrics and Pediatrics Exams Quiz #7: RN Exams Fluid and Electrolytes Exams Quiz #8: RN Exams Community Health Exams Quiz #9: RN Exams Promoting Health across the lifespan Exams Quiz #10: RN Exams Multidimensional care Exams

Get 100+ Naxlex Exit Exams for $79 Try Naxlex NCLEX-RN (14 Day Free-Trial)

Naxlex Comprehensive Predictor Exams

Quiz #1: Naxlex RN Comprehensive online practice 2019 B with NGN Quiz #2: Naxlex RN Comprehensive Predictor 2023 Quiz #3: Naxlex RN Comprehensive Predictor 2023 Exit Exam A Quiz #4: Naxlex HESI Exit LPN Exam Quiz #5: Naxlex PN Comprehensive Predictor PN 2020 Quiz #6: Naxlex VATI PN Comprehensive Predictor 2020 Quiz #8: Naxlex PN Comprehensive Predictor 2023 - Exam 1 Quiz #10: Naxlex HESI PN Exit exam Quiz #11: Naxlex HESI PN EXIT Exam 2

Free Nursing Study Resources

Correct Answer is E

Explanation

Choice A rationale:

Placenta previa is a condition in which the placenta covers all or part of the cervix. It's a serious complication that can cause heavy bleeding during pregnancy and childbirth. However, it's not a direct complication of maternal gestational diabetes.

Choice B rationale:

Newborn hypoglycemia is a condition in which a newborn's blood sugar levels are too low. It can occur in infants of mothers with gestational diabetes, but it's not the most common or significant complication associated with the condition.

Choice C rationale:

Oligohydramnios is a condition characterized by a low amount of amniotic fluid around the baby. It can be associated with maternal gestational diabetes, but it's not as common as other complications, such as macrosomia (large for gestational age baby).

Choice D rationale:

Small for gestational age (SGA) newborn refers to a baby who is smaller than expected for their gestational age. It can be caused by several factors, including restricted intrauterine growth, which can be associated with maternal gestational diabetes. However, it's not the most direct or common complication of the condition.

Choice E rationale:

Maternal gestational diabetes is a condition in which a woman develops high blood sugar levels during pregnancy. It's the most common metabolic complication of pregnancy and can lead to several serious health risks for both the mother and baby. These risks include:

Macrosomia (large for gestational age baby): High blood sugar levels in the mother can cause the baby to grow excessively large, leading to complications during labor and delivery, such as shoulder dystocia, birth injuries, and cesarean delivery. Preeclampsia: Gestational diabetes increases the risk of preeclampsia, a serious condition characterized by high blood pressure and protein in the urine. It can affect multiple organs, including the liver and kidneys, and can be life-threatening for both mother and baby.

Premature birth: Women with gestational diabetes are more likely to deliver their babies prematurely, which can lead to health problems for the baby, such as respiratory distress syndrome, feeding difficulties, and developmental delays.

Neonatal hypoglycemia: Newborns of mothers with gestational diabetes are at increased risk of hypoglycemia (low blood sugar) after birth due to the sudden withdrawal of maternal glucose supply. This can cause seizures, brain damage, and even death if not promptly treated.

Type 2 diabetes later in life: Both mother and child are at increased risk of developing type 2 diabetes later in life.

A. April 27. B. April 11. C. February 15 D. February 1

Correct Answer is C

Explanation

The estimated date of delivery (EDD) using Naegele's rule is _.

Step 1: Add 7 days to the first day of the last menstrual period. May 8 + 7 days = May 15

Step 2: Count 3 months back. May - 3 months = February

Step 3: Adjust the year if necessary. The year remains the same.

The estimated date of delivery is February 15 of the following year.

View Question and Answer

Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.

Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today

A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation. The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reinforcing teaching with a newly licensed nurse. Which of the following complications should the nurse include?

Correct Answer is E

Explanation

A nurse in a prenatal clinic is determining a client's estimated date of delivery using Naegele's rule. The first day of her last menstrual period was May 8. Which of the following dates should the nurse tell the client is her estimated date of delivery?

Correct Answer is C

Explanation

A nurse caring for a client during a non-stress test (NST) notes fetal movement. Each deceleration lasts 30 seconds. Which of the following results are in?

A nurse is reviewing contraception options for four clients. The nurse should identify which of the following clients as having a contraindication to oral contraceptives?

A nurse is reinforcing teaching with a client who is at 23 weeks of gestation and will return to the facility the following week for an amniocentesis. Which of the following instructions should the nurse include?

A nurse is preparing to palpate the uterine fundus of a client who is at 22 weeks of gestation to measure fundal height. At which of the following locations should the nurse expect to find the fundus?

A nurse in a provider’s office is reinforcing teaching about home care to a client who has mild preeclampsia. Which of the following information should the nurse include in the teaching? Choice Options:

A nurse is caring for a client who is at 20 weeks of gestation and tells the nurse that she is concerned that exercising might pose risks to her pregnancy. Which of the following statements should the nurse make?

A nurse is caring for a female client scheduled to have a pelvic exam. The client tells the nurse, “I’m really nervous. I’ve never had a pelvic exam before.” Which of the following is an appropriate therapeutic response by the nurse?

A nurse is caring for a client in the prenatal clinic who is at 7 weeks of gestation.
The client reports urinary frequency and asks the nurse if this will continue throughout her pregnancy. Which of the following responses by the nurse is appropriate?